MALAK PRAKASHBHAI MODI

SHREVEPORT, LA
NPI1033671045
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
MALAK PRAKASHBHAI MODI MD
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0434
Mailing Address
MALAK PRAKASHBHAI MODI MD
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0434
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